fundamentals exam 2

Flashcards covering delegation, legal/ethical issues, communication, documentation, and client care in nursing.

Which task is most appropriate to delegate to the UAP?

Ambulating a stable post-op day 2 hip replacement client with walker

Which client should the RN assign to the LPN?

Stable post-op cholecystectomy needing wound dressing change

What is an example of malpractice?

Administering the wrong dose of insulin resulting in hypoglycemia

What is it called if a nurse gives an injection after a patient refused?

Battery

Who is responsible for explaining the risks, benefits, and alternatives in informed consent?

Surgeon or provider

Which client requires RN care?

A stable COPD client needing nebulizer teaching

What type of consent applies when an unconscious trauma patient needs emergency surgery?

Implied consent

What is the best therapeutic response to a patient who says, 'I’m scared of this biopsy'?

It sounds like you’re feeling afraid. Tell me more.

Which action violates HIPAA?

Discussing patient info in the elevator

What is the best delegation direction to a UAP?

At 0900, obtain and record VS on Mr. Lee, report SBP

A patient asks, 'What should I do about my father’s placement?' What is the best response?

Let’s review the options together and what matters most to you.

What is an example of best documentation?

Pain 8/10; morphine 2 mg IV at 1410; pain 3/10 at 1425.

What are appropriate tasks for a UAP? (Select all that apply)

Range of motion (ROM) exercises, recording intake and output (I/O), collecting a urine specimen, transporting a patient to x-ray

What legal term defines placing all four side rails up to restrict a patient's movement?

False imprisonment

What is an appropriate assignment for an LPN?

Stable wound dressing change

What are the elements of valid informed consent? (Select all that apply)

Voluntary decision, patient competency, explanation of risks and benefits, verification of patient understanding, and witnessed signature

What does 'charting by exception' mean?

Recording only deviations from established norms

What is it considered if a nurse documents intake and output (I/O) that was not actually done?

Fraud

What is an example of a barrier to therapeutic communication?

Changing the subject

What term describes the process of evaluating a new wound-care product?

Evidence-based practice

Which client should the nurse see first?

A COPD patient with an O2 saturation of 86%

Is it acceptable for a student to post 'crazy ER night' on social media?

No, it poses a HIPAA violation risk

What is an appropriate task within the LPN scope of practice?

Administering a scheduled IM antibiotic

What does it mean when an LPN monitors an IV rate?

It means verifying that the infusion rate is as prescribed

What are effective communication strategies for a hearing-impaired patient? (Select all that apply)

Face the patient in a well-lit area, reduce background noise, use simple sentences, and document the communication method used

What is the purpose of therapeutic silence?

Allowing a quiet moment for the patient to gather their thoughts

What is the nurse's role in informed consent?

To witness the voluntary signature and ensure the consent form is placed in the patient's chart

What is an appropriate UAP task for a stroke patient who is NPO?

Performing oral care with suction

What therapeutic communication technique is 'You didn’t sleep at all?' an example of?

Reflecting or restating

What legal term describes threatening a patient with restraints if they refuse medication?

Assault

What are fall risk prevention strategies for older adults? (Select all that apply)

Keeping items within reach, removing poor lighting and clutter, ensuring non-skid footwear, and performing hourly rounding

What is an example of the best objective documentation?

Pt states, ‘I’m upset’; pacing; HR 102; BP 138/84.

Which client is considered unstable?

A GI bleed patient with a heart rate of 128 and melena

What are examples of therapeutic communication techniques? (Select all that apply)

Making observations, voicing doubt, and offering self

Who is responsible for teaching a patient about a high-risk new medication?

The Registered Nurse (RN)

What is it considered if a nurse charts vital signs that were not taken?

Fraud

What is the best open-ended question to ask a patient?

Tell me what concerns you most right now.

Which LPN action would require RN intervention?

Starting a dopamine infusion

What is the best approach when communicating with a patient with expressive aphasia?

Using yes/no questions and a communication board

What is the proper way to correct an error on a paper chart? (Select all that apply)

Draw a single line through the error, write 'error' with initials, and make the correct entry with date and time

What term describes belittling a coworker?

Horizontal violence or incivility

What are examples of evidence-based practice? (Select all that apply)

Systematic reviews, incorporating patient preferences, and combining clinical expertise with research evidence

What should a nurse do if a family member asks for a patient's lab results?

Ask for written patient permission

What does SOAP charting include?

Subjective data, Objective data, Assessment, and Plan

A UAP reports a patient's blood glucose is 42 mg/dL. What is the nurse's priority?

Administer 15 grams of carbohydrates per protocol

What are appropriate UAP tasks for a stable post-operative patient? (Select all that apply)

Bathing, recording intake, and assisting with ambulation with a walker

What is an example of a culturally sensitive statement?

Help me understand what this practice means to you.

What should a nurse do if a patient refuses a blood transfusion?

Respect the patient's refusal and notify the provider for alternative treatments

Which task can only an RN perform?

Initial admission assessment

A patient states, 'I’m a burden to my family.' What is the best therapeutic response?

It sounds like you’re worried about your family. Tell me more.